A mammoplasty is a surgical procedure that reduces, lifts and reshapes the breasts. It can also reduce the size of the areola (the dark skin surrounding the nipple). Many women seek breast reduction to alleviate painful discomfort and other conditions (back pain, shoulder pressure, rashes, skin tags, etc.) as well as to improve the appearance of their breasts.

The procedure is usually performed under general anesthesia. The operation takes about 3-4 hours, and you may require an overnight stay or be allowed to go home the day of surgery.

During mammoplasty, the surgeon makes an incision which is normally in a keyhole pattern: a circle around the aerola and two incisions down the breast which will be closed to form one line. Fat and extra tissue are removed. The surgeon then repositions the nipple and areola to a higher position and removes excess skin from beneath the breast.

In Figure 1 the outlined areas show where skin, breast tissue, and fat are typically removed and how the areola and nipple are repositioned. The arrows show how skin formerly above the nipple is brought down and sutured together to reshape the breast. After surgery, scars will appear around the areola and in the crease under the breast.

Figure 1

In some cases, the nipple and areola are transferred as a skin graft to their new position. This is only done when absolutely necessary, since nipple sensation is almost completely lost. Drains are then placed on the sides of the breasts to drain blood and excess fluid. The drains are not removed for 1-2 days. The incisions are then sutured closed and taped.

Information provided is for general education about traditional breast reduction, male breast reduction, breast reduction by liposuction and other cosmetic plastic surgery procedures. This information is subject to change. Smart Breast Reduction.com does not guarantee that it is accurate or complete, and is not responsible for any actions resulting from the use of this information. General information provided in this fashion should not be construed as specific medical advice or recommendation, and is not a substitute for a consultation and physical examination by a physician. Only discussion of your individual needs with a qualified physician will determine the best method of treatment for you. All board certified plastic surgeons listed are board certified by the American Board of Plastic Surgery. Board certified plastic surgeons are verified by the American Board of Medical Specialties.